Which coding code represents a general examination without abnormal findings in a general patient?

Which coding code represents a general examination without abnormal findings in a general patient?

• A. General Examination Without Abnormal Findings
• B. Encounter for Immunization
• C. Ambulatory Surgery Indicator
• D. Encounter for a Physical Therapy

Answer: (A)

The main idea is matching the code description to the service documented. For a general physical examination with no abnormal findings in a general patient, the code that literally describes that service—General Examination Without Abnormal Findings—best fits the scenario. This wording signals a routine exam where findings are normal, which is exactly what’s being documented. The other options refer to different services: an encounter for immunization is for vaccines, an ambulatory surgery indicator relates to outpatient surgical status or flags, and an encounter for physical therapy is for PT services. None of these describe a routine general examination with normal findings, so they don’t match the scenario.

The main idea is matching the code description to the service documented. For a general physical examination with no abnormal findings in a general patient, the code that literally describes that service—General Examination Without Abnormal Findings—best fits the scenario. This wording signals a routine exam where findings are normal, which is exactly what’s being documented.

The other options refer to different services: an encounter for immunization is for vaccines, an ambulatory surgery indicator relates to outpatient surgical status or flags, and an encounter for physical therapy is for PT services. None of these describe a routine general examination with normal findings, so they don’t match the scenario.